Here's a copy of the birth plan we used. We called it "Our Birth Preferences." The first page was basically just sucking up to the hospital staff, highlighting the main points, and trying to set up a cooperative rather than combative tone.
The second page very simply outlined our preferences. I didn't end up getting everything in the "plan," but in the main the birth was what I wanted, and a very positive experience. Our doula was priceless, as was having a great doc who delivers her patients even when she's not on call! You can read my son's birth story in the birth story section to compare the actual birth experience to the "plan."http://www.mothering.com/discussions...d.php?t=367316
This plan isn't perfect. If I were doing it over again, I'd probably change a few things (skip eye drops all together and possibly vit k shot, too). But it might give you some ideas.Our Birth Preferences
We are writing down our wishes for childbirth in order to facilitate better communication, as we may not be in the calmest of emotional states when labor day arrives! We realize that birth can not be “planned” and that unexpected complications may cause a need for interventions we had hoped to avoid. In the end, we recognize that the most important outcome is the safe birth of a healthy baby!
The following statements summarize our wishes, and should give you an idea of the type of birth we would prefer. A detailed list of preferences is provided on the next page, to be used as a reference to specific issues that may arise during the course of labor and delivery.
•We wish to experience a natural childbirth without the use of pain medications or unnecessary interventions. We feel this will be possible with the encouragement and support of our doctor, , the labor and delivery staff, and our birthing assistant.
•We would like a calm, intimate environment in which to labor. We request that any friends or family members arriving at the hospital be invited to stay in the waiting room where they will receive periodic updates.
•Bonding with our newborn and facilitating breastfeeding is very important to us. To this end, we would like the post-birth baby care to be done while the baby is in Mom’s arms. We also want to delay the administration of eye drops and vitamin K shots. And, we would like an hour or two of visitor-free bonding time after the birth of the baby.
Thank you for taking the time to read our childbirth preferences. Your medical expertise and experience are invaluable resources on which we depend. We may get too preoccupied to express this at the time, but we are very grateful for your assistance and support!Labor
We will be laboring at home and plan on staying there until the time is right to go to the hospital.
We will be focusing on several positions for labor including but not limited to walking, dancing, hydro-therapy, hands & knees, squatting, and side lying.
We want vaginal exams to be kept to a minimum, preferably only when we request them.
We do not want the amniotic sac ruptured.Monitoring
We will only agree to monitoring on a limited intermittent basis. We will not compromise the position we are using in order for the monitors to be used.Labor augmentation/ induction
We would rather not have to use any form of induction, but if it becomes medically necessary for the health of our baby, we wish to try natural forms of induction before using any other courses of action.Pain management
We would like to labor without medication and appreciate any support you can offer regarding our decision.Second stage/Episiotomy
When fully dilated, we will be pushing instinctively and, unless there is no progress, would prefer to continue on that course until our baby is born.
We are open to various positions for pushing and would appreciate any suggestions.
We would like to use a mirror.
We do not want an episiotomy unless there is indication that the baby is in distress and needs to be delivered immediately.Immediately after birth
Please place baby directly on Mom’s abdomen.
When the umbilical cord stops pulsating, dh would like to cut it.
Please conduct the post birth baby care while the baby is in Mom’s arms.
We would like to donate the cord blood to the blood bank.
Please wait to administer eye drops and the vitamin K shot to allow for maximum bonding time.Newborn care & feeding
If the baby needs to be warmed, we would like to use kangaroo care.
We would like to initiate breastfeeding as soon as possible.
The baby will be rooming in with us.
Please do not offer our baby any supplements to breast feeding.
We do not want our baby to be given any form of artificial nipple.
We do not want our baby vaccinated for Hep B during the hospital stay.Photo and video
We reserve the right to take photos during labor and after the baby’s birth.Circumcision
If our baby is a boy, we do not want him to be circumcised.Cesarean section
By using natural childbirth methods, avoiding medication, limiting unnecessary interventions, and utilizing various labor and birthing positions, we hope to reduce our chances of receiving a cesarean section. If a cesarean section should become necessary, we would like the baby to be reunited with us as soon as possible to facilitate bonding and breastfeeding.